Family Mediation Participant Survey

	1 - Not at all	2	3	4	5 - Completely
I was able to freely ask questions and say what I needed to say during the mediation	I was able to freely ask questions and say what I needed to say during the mediation 1 - Not at all	I was able to freely ask questions and say what I needed to say during the mediation 2	I was able to freely ask questions and say what I needed to say during the mediation 3	I was able to freely ask questions and say what I needed to say during the mediation 4	I was able to freely ask questions and say what I needed to say during the mediation 5 - Completely
My attorney prepared me for mediation.	My attorney prepared me for mediation. 1 - Not at all	My attorney prepared me for mediation. 2	My attorney prepared me for mediation. 3	My attorney prepared me for mediation. 4	My attorney prepared me for mediation. 5 - Completely
Having the mediator present was helpful.	Having the mediator present was helpful. 1 - Not at all	Having the mediator present was helpful. 2	Having the mediator present was helpful. 3	Having the mediator present was helpful. 4	Having the mediator present was helpful. 5 - Completely
The mediator explained the mediation process.	The mediator explained the mediation process. 1 - Not at all	The mediator explained the mediation process. 2	The mediator explained the mediation process. 3	The mediator explained the mediation process. 4	The mediator explained the mediation process. 5 - Completely
The mediator allowed both sides to express their views.	The mediator allowed both sides to express their views. 1 - Not at all	The mediator allowed both sides to express their views. 2	The mediator allowed both sides to express their views. 3	The mediator allowed both sides to express their views. 4	The mediator allowed both sides to express their views. 5 - Completely
I felt pressured by the mediator to go along with things I did not want.	I felt pressured by the mediator to go along with things I did not want. 1 - Not at all	I felt pressured by the mediator to go along with things I did not want. 2	I felt pressured by the mediator to go along with things I did not want. 3	I felt pressured by the mediator to go along with things I did not want. 4	I felt pressured by the mediator to go along with things I did not want. 5 - Completely
The mediator recommended a specific decision.	The mediator recommended a specific decision. 1 - Not at all	The mediator recommended a specific decision. 2	The mediator recommended a specific decision. 3	The mediator recommended a specific decision. 4	The mediator recommended a specific decision. 5 - Completely
I have a better understanding of the situation.	I have a better understanding of the situation. 1 - Not at all	I have a better understanding of the situation. 2	I have a better understanding of the situation. 3	I have a better understanding of the situation. 4	I have a better understanding of the situation. 5 - Completely
I have a better understanding of the other party's perspective.	I have a better understanding of the other party's perspective. 1 - Not at all	I have a better understanding of the other party's perspective. 2	I have a better understanding of the other party's perspective. 3	I have a better understanding of the other party's perspective. 4	I have a better understanding of the other party's perspective. 5 - Completely
I believe that the other party has a better understanding of my perspective.	I believe that the other party has a better understanding of my perspective. 1 - Not at all	I believe that the other party has a better understanding of my perspective. 2	I believe that the other party has a better understanding of my perspective. 3	I believe that the other party has a better understanding of my perspective. 4	I believe that the other party has a better understanding of my perspective. 5 - Completely
I experienced fear or intimidation during the mediation because of the other party.	I experienced fear or intimidation during the mediation because of the other party. 1 - Not at all	I experienced fear or intimidation during the mediation because of the other party. 2	I experienced fear or intimidation during the mediation because of the other party. 3	I experienced fear or intimidation during the mediation because of the other party. 4	I experienced fear or intimidation during the mediation because of the other party. 5 - Completely
My experience in mediation helped me to decide the next steps to effectively deal with the situation.	My experience in mediation helped me to decide the next steps to effectively deal with the situation. 1 - Not at all	My experience in mediation helped me to decide the next steps to effectively deal with the situation. 2	My experience in mediation helped me to decide the next steps to effectively deal with the situation. 3	My experience in mediation helped me to decide the next steps to effectively deal with the situation. 4	My experience in mediation helped me to decide the next steps to effectively deal with the situation. 5 - Completely
The mediation fee was reasonable.	The mediation fee was reasonable. 1 - Not at all	The mediation fee was reasonable. 2	The mediation fee was reasonable. 3	The mediation fee was reasonable. 4	The mediation fee was reasonable. 5 - Completely
I was satisfied with the mediation process.	I was satisfied with the mediation process. 1 - Not at all	I was satisfied with the mediation process. 2	I was satisfied with the mediation process. 3	I was satisfied with the mediation process. 4	I was satisfied with the mediation process. 5 - Completely
I was satisfied with the mediator.	I was satisfied with the mediator. 1 - Not at all	I was satisfied with the mediator. 2	I was satisfied with the mediator. 3	I was satisfied with the mediator. 4	I was satisfied with the mediator. 5 - Completely
Overall, the mediation was useful to me.	Overall, the mediation was useful to me. 1 - Not at all	Overall, the mediation was useful to me. 2	Overall, the mediation was useful to me. 3	Overall, the mediation was useful to me. 4	Overall, the mediation was useful to me. 5 - Completely
I would recommend mediation to another person in a similar situation.	I would recommend mediation to another person in a similar situation. 1 - Not at all	I would recommend mediation to another person in a similar situation. 2	I would recommend mediation to another person in a similar situation. 3	I would recommend mediation to another person in a similar situation. 4	I would recommend mediation to another person in a similar situation. 5 - Completely
I would choose mediation again if I have another conflict.	I would choose mediation again if I have another conflict. 1 - Not at all	I would choose mediation again if I have another conflict. 2	I would choose mediation again if I have another conflict. 3	I would choose mediation again if I have another conflict. 4	I would choose mediation again if I have another conflict. 5 - Completely

1 - Not at all

5 - Completely

I was able to freely ask questions and say what I needed to say during the mediation

I was able to freely ask questions and say what I needed to say during the mediation 1 - Not at all

I was able to freely ask questions and say what I needed to say during the mediation 2

I was able to freely ask questions and say what I needed to say during the mediation 3

I was able to freely ask questions and say what I needed to say during the mediation 4

I was able to freely ask questions and say what I needed to say during the mediation 5 - Completely

My attorney prepared me for mediation.

My attorney prepared me for mediation. 1 - Not at all

My attorney prepared me for mediation. 2

My attorney prepared me for mediation. 3

My attorney prepared me for mediation. 4

My attorney prepared me for mediation. 5 - Completely

Having the mediator present was helpful.

Having the mediator present was helpful. 1 - Not at all

Having the mediator present was helpful. 2

Having the mediator present was helpful. 3

Having the mediator present was helpful. 4

Having the mediator present was helpful. 5 - Completely

The mediator explained the mediation process.

The mediator explained the mediation process. 1 - Not at all

The mediator explained the mediation process. 2

The mediator explained the mediation process. 3

The mediator explained the mediation process. 4

The mediator explained the mediation process. 5 - Completely

The mediator allowed both sides to express their views.

The mediator allowed both sides to express their views. 1 - Not at all

The mediator allowed both sides to express their views. 2

The mediator allowed both sides to express their views. 3

The mediator allowed both sides to express their views. 4

The mediator allowed both sides to express their views. 5 - Completely

I felt pressured by the mediator to go along with things I did not want.

I felt pressured by the mediator to go along with things I did not want. 1 - Not at all

I felt pressured by the mediator to go along with things I did not want. 2

I felt pressured by the mediator to go along with things I did not want. 3

I felt pressured by the mediator to go along with things I did not want. 4

I felt pressured by the mediator to go along with things I did not want. 5 - Completely

The mediator recommended a specific decision.

The mediator recommended a specific decision. 1 - Not at all

The mediator recommended a specific decision. 2

The mediator recommended a specific decision. 3

The mediator recommended a specific decision. 4

The mediator recommended a specific decision. 5 - Completely

I have a better understanding of the situation.

I have a better understanding of the situation. 1 - Not at all

I have a better understanding of the situation. 2

I have a better understanding of the situation. 3

I have a better understanding of the situation. 4

I have a better understanding of the situation. 5 - Completely

I have a better understanding of the other party's perspective.

I have a better understanding of the other party's perspective. 1 - Not at all

I have a better understanding of the other party's perspective. 2

I have a better understanding of the other party's perspective. 3

I have a better understanding of the other party's perspective. 4

I have a better understanding of the other party's perspective. 5 - Completely

I believe that the other party has a better understanding of my perspective.

I believe that the other party has a better understanding of my perspective. 1 - Not at all

I believe that the other party has a better understanding of my perspective. 2

I believe that the other party has a better understanding of my perspective. 3

I believe that the other party has a better understanding of my perspective. 4

I believe that the other party has a better understanding of my perspective. 5 - Completely

I experienced fear or intimidation during the mediation because of the other party.

I experienced fear or intimidation during the mediation because of the other party. 1 - Not at all

I experienced fear or intimidation during the mediation because of the other party. 2

I experienced fear or intimidation during the mediation because of the other party. 3

I experienced fear or intimidation during the mediation because of the other party. 4

I experienced fear or intimidation during the mediation because of the other party. 5 - Completely

My experience in mediation helped me to decide the next steps to effectively deal with the situation.

My experience in mediation helped me to decide the next steps to effectively deal with the situation. 1 - Not at all

My experience in mediation helped me to decide the next steps to effectively deal with the situation. 2

My experience in mediation helped me to decide the next steps to effectively deal with the situation. 3

My experience in mediation helped me to decide the next steps to effectively deal with the situation. 4

My experience in mediation helped me to decide the next steps to effectively deal with the situation. 5 - Completely

The mediation fee was reasonable.

The mediation fee was reasonable. 1 - Not at all

The mediation fee was reasonable. 2

The mediation fee was reasonable. 3

The mediation fee was reasonable. 4

The mediation fee was reasonable. 5 - Completely

I was satisfied with the mediation process.

I was satisfied with the mediation process. 1 - Not at all

I was satisfied with the mediation process. 2

I was satisfied with the mediation process. 3

I was satisfied with the mediation process. 4

I was satisfied with the mediation process. 5 - Completely

I was satisfied with the mediator.

I was satisfied with the mediator. 1 - Not at all

I was satisfied with the mediator. 2

I was satisfied with the mediator. 3

I was satisfied with the mediator. 4

I was satisfied with the mediator. 5 - Completely

Overall, the mediation was useful to me.

Overall, the mediation was useful to me. 1 - Not at all

Overall, the mediation was useful to me. 2

Overall, the mediation was useful to me. 3

Overall, the mediation was useful to me. 4

Overall, the mediation was useful to me. 5 - Completely

I would recommend mediation to another person in a similar situation.

I would recommend mediation to another person in a similar situation. 1 - Not at all

I would recommend mediation to another person in a similar situation. 2

I would recommend mediation to another person in a similar situation. 3

I would recommend mediation to another person in a similar situation. 4

I would recommend mediation to another person in a similar situation. 5 - Completely

I would choose mediation again if I have another conflict.

I would choose mediation again if I have another conflict. 1 - Not at all

I would choose mediation again if I have another conflict. 2

I would choose mediation again if I have another conflict. 3

I would choose mediation again if I have another conflict. 4

I would choose mediation again if I have another conflict. 5 - Completely

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* 5. If there were any drawbacks to your mediation experience, please explain:

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* 6. If there were any benefits to your mediation experience, please explain:

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* 7. What would help us improve the mediation experience for other people?

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* 8. During the mediation...

a full agreement was reached.

a partial agreement was reached.

no agreement was reached.

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* 9. Mediator Name

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* 10. Date of Mediation

Date

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* 11. County where case is filed

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* 12. Case Number

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* 13. Can we share your responses with your mediator?

Yes

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Family Mediation Participant Survey

Thank You

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* 1. I am

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* 2. Gender

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* 3. Do you have an attorney?

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* 4. Please rate each answer to the following questions on a scale of 1 (Not at all) to 5 (Completely).

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* 5. If there were any drawbacks to your mediation experience, please explain:

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* 6. If there were any benefits to your mediation experience, please explain:

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* 7. What would help us improve the mediation experience for other people?

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* 8. During the mediation...

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* 9. Mediator Name

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* 10. Date of Mediation

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* 11. County where case is filed

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* 12. Case Number

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* 13. Can we share your responses with your mediator?